NPIMap

Individual provider Active NPI

Homayoun Siman, MD

  • General Practice Physician
  • Palm Desert, CA
National Provider Identifier
1477971125
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A140616 Issued in CA
Practice address
73211 Fred Waring Dr Ste 101
Palm Desert, CA 92260-2888
Phone
(607) 837-0321
Fax
(760) 837-9114
NPI assigned
Mar 31, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A140616 CA Primary

Addresses

Primary practice location

73211 Fred Waring Dr Ste 101
Palm Desert, CA 92260-2888

Mailing address

73211 Fred Waring Dr Ste 101
Palm Desert, CA 92260-2888
Phone (607) 837-0321

Other practice location 1

82013 Dr Carreon Blvd
Indio, CA 92201-4832
Phone (760) 342-4242

Other identifiers 1

IdentifierTypeStateIssuer
CB285137MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171103001112 CA Practitioner - General Practice 2567728777 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Complete Care Family Medical ClinicGroup PAC ID 5597707695, 4 clinicians
Borrego Stat Care IncGroup PAC ID 1355888264, 4 clinicians
Homayoun Siman ApcGroup PAC ID 9931456779, 4 clinicians
Healing Hand Family Care Clinics CorpGroup PAC ID 3072821644, 5 clinicians

Practice addresses (Care Compare)

1231 N Avalon Blvd
Wilmington, CA 90744-2601
Phone (310) 835-7215

587 Palm Canyon Dr
Suite 215
Borrego SPGS, CA 92004-4000
Phone (760) 284-1044

73211 Fred Waring Dr
Suite 101
Palm Desert, CA 92260-2888
Phone (760) 837-0321

81800 Doctor Carreon Blvd
Suite a
Indio, CA 92201-5595
Phone (760) 342-4242

Hospital & facility affiliations

  • 24-7 Quality Infusion and Home Health Inc Home health agency, Westlake Village, CA, CCN 059211
  • Valley Care Home Health, Inc. Home health agency, Palm Desert, CA, CCN 059411
  • Mission Home Health Palm Desert Home health agency, Palm Desert, CA, CCN 059695
  • Suncrest Home Health Services Inc Home health agency, Chino, CA, CCN 059259
  • Amazing Health Home Care Inc Home health agency, Palm Desert, CA, CCN 559526
  • Serafim Hospice Inc Hospice, Sherman Oaks, CA, CCN A11635
  • Eisenhower Medical Center Hospital, Rancho Mirage, CA, CCN 050573
  • Desert Regional Medical Center Hospital, Palm Springs, CA, CCN 050243

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision20
Removal of tissue1-10
Removal of skin lesions31
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A140616CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Borrego Stat Care Inc General Practice CurrentSince Jun 3, 2024 Accepting new patients
Homayoun Siman Apc CurrentSince Jan 1, 2018 Accepting new patients

Locations

587 Palm Canyon Dr
Ste 215
Borrego Springs, CA 92004
Phone (760) 284-1044

73211 Fred Waring Dr
Ste 101
Palm Desert, CA 92260
Phone (760) 836-3835

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHIICD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1477971125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73211 FRED WARING DR STE 101",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602888",
            "telephone_number": "607-837-0321",
            "fax_number": "607-837-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73211 FRED WARING DR STE 101",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602888",
            "telephone_number": "607-837-0321",
            "fax_number": "760-837-9114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "82013 Dr Carreon Blvd",
            "address_purpose": "LOCATION",
            "city": "Indio",
            "state": "CA",
            "postal_code": "922014832",
            "country_code": "US",
            "telephone_number": "760-342-4242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMAN",
        "first_name": "HOMAYOUN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-31",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A140616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CB285137",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

Verify at the official NPI Registry.